RN Concept-Based Assessment Level 2 Online Practice B New Latest Version with Questions and Answer
A home health nurse is assessing a client who has COPD. The client has a respiratory rate of 22/min and reports shortness of breath. Which of the following actions should the nurse take first? A: Place the client in high-Fowler's position. B: Encourage the client to perform diaphragmatic breathing. C: Instruct the client to perform a huff-coughing technique. D: Administer a nebulized bronchodilator. - ANSWplace the client in high-Fowler's position A hospice nurse is visiting with a client following the death of her partner 1 month ago. The client is tearful and states she does not see how she can ever be happy again. Which of the following responses should the nurse make? - ANSWWhat are some of the best times with your partner that you remember? A nurse a reviewing the laboratory report of a client who is taking atorvastatin. Which of the following findings should the nurse identify as an indication that the medication is having an adverse effect? A: LDL 100 mg/dL B: Total cholesterol 199 mg/dL C: Aspartate aminotransferase (AST) 45 units/L D: Creatine kinase (CK) 120 units/L - ANSWAspartate aminotransferase (AST) 45 units/L A nurse in a community health clinic is reviewing data from the medical records of four clients. Which of the following communicable diseases requires reporting by the nurse? -Gonorrhea -Herpes genitalis -Human papillomavirus -Bacterial vaginosis - ANSWGonorrhea Gonorrhea is an infectious condition listed on the Nationally Notifiable Infectious Conditions Listing. The nurse should report this communicable disease to the Centers for Disease Control and Prevention. A nurse in a provider's office is assessing a client who is taking warfarin to treat atrial fibrillation. Which of the following findings should the nurse identify as an adverse effect that should be reported to the provider? A: Black, tarry stools B: Ringing in the ears C: Urinary retention D: Recent hallucinations - ANSWBlack, tarry stools
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